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Medicaid Matters New York (MMNY)
In February 2003, Care for the Homeless joined forces with health care advocates around the state to respond to Medicaid attacks at the state and federal levels. As a result, Medicaid Matters New York (MMNY), originally called the Medicaid Defense Group, was organized and has since worked tirelessly to protect Medicaid at every level of government. This consumer-oriented, statewide coalition of over 100 organizations was founded on the premise that “Medicaid matters,” and drastic cuts in the program will adversely affect all New Yorkers.

Medicaid is a New York success story. When any New Yorker, insured or not, visits a hospital in the state, he or she benefits from this crucial program. It is the largest payer for births in our state, an integral part of children’s health care, and the primary funding source for long-term care of New York’s elderly and disabled. It is also important to New York’s economy, supporting thousands of jobs in the health care sector. Medicaid and Medicare combined make up 70 percent of hospital revenues, and if either of these programs is cut, everyone who uses hospitals will feel the effects.

MMNY’s mission is to ensure that policy makers understand the importance of Medicaid, and that Medicaid beneficiaries have a strong voice in the halls of government. The ultimate goal is to establish a model for beneficiary-driven advocacy that is sustainable over the long term and that can be replicated in other states. While many coalitions exist that advocate on behalf of health care providers, MMNY’s is perhaps the only organized, statewide coalition that speaks solely for beneficiaries.

Our organized activities have led to considerable successes, including advocacy in 2003 that:

fought Congressional attempts to cut $95 billion from Medicaid in the federal budget;
stopped the Governor’s proposed $2 billion in state Medicaid cuts;
and pressured the National Governors’ Association to reject proposals to cap federal funding for optional populations and benefits.

This year, New York State’s fiscal position is again threatening Medicaid funding. The Governor’s proposed Executive Budget and the New York Senate’s Medicaid Reform Task Force report both make it clear that the cost of this critical program is reaching crisis levels. Some of the proposals put out by the Governor and the Senate make a lot of fiscal sense. For example, CFH supports moving seniors and people with disabilities from institutions into community settings, a shift that would save money and improve quality of care. Unfortunately, also proposed are hard-hitting cuts that, if enacted, will impose a severe burden on Medicaid beneficiaries.

Knowing that a better way exists to save money and to improve the Medicaid program, Care for the Homeless worked extensively with MMNY on the development and release of a report with ten consumer-friendly ideas to improve New York’s Medicaid program and save money for New York tax payers. Finding a Better Way, released in early March, hopes to debunk the myth that Medicaid cuts will ease New York’s financial crisis. The report then proposes genuine reforms that will not endanger our most vulnerable residents.

In the upcoming years, Care for the Homeless will continue to advocate with MMNY, assuring access to health care for homeless people and all other New Yorkers eligible for our public health insurance programs. Some of the advocacy approaches we will continue to use include:

meeting with US Senators, Members of Congress, State Senators and Assemblymembers, the Governor’s staff, County Executives, and the Mayor of New York City;
developing policy briefs on the impact of proposed Medicaid cuts and reform on New York beneficiaries;
and holding press conferences to release reports and educate the public as well as legislators about the importance of a health Medicaid program to New York State.

Public commitment to the preservation of New York’s health care programs is very important. Call Doug Berman for information on how you can support health care advocates in their fight to protect our health care system.

Doug Berman
Director of Policy
(212) 366-4459

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